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对预注册年度经历的评估。

An assessment of the preregistration year experience.

作者信息

Elizabeth J E, Hughes S

出版信息

Br Med J (Clin Res Ed). 1986 Dec 13;293(6561):1559. doi: 10.1136/bmj.293.6561.1559.

DOI:10.1136/bmj.293.6561.1559
PMID:3099956
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1342325/
Abstract

All 115 graduates qualifying at Liverpool University Medical School in one year were sent a questionnaire in the final week of their preregistration year to assess the experience they had gained. Of the 105 graduates (92%) who replied, 99 (94%) considered the supervision that they had received to be adequate, 89 (85%) received most of their teaching from other junior doctors, and only 47 believed that they had learnt a considerable amount from their consultant colleagues. Half of the doctors received little or no training in terminal care. Although 100 (95%) felt competent in dealing with various medical emergencies, cardiopulmonary resuscitation skills were less developed; only 71 (68%) were confident in using a defibrillator, and 37 (35%) considered themselves to be competent in dealing with cardiac arrhythmias. A fifth of the doctors found interviewing relatives stressful. Of the 105 doctors who replied, 77 (73%) thought that their preregistration experience had had little or no effect on their choice of career.

摘要

在利物浦大学医学院某一年毕业的115名合格毕业生,在他们预注册年的最后一周收到了一份问卷,以评估他们所获得的经验。在回复的105名毕业生(92%)中,99人(94%)认为他们得到的监督是足够的,89人(85%)大部分教学来自其他初级医生,只有47人认为他们从顾问同事那里学到了很多东西。一半的医生在临终关怀方面几乎没有或没有接受过培训。尽管100人(95%)觉得自己有能力应对各种医疗紧急情况,但心肺复苏技能的掌握程度较低;只有71人(68%)对使用除颤器有信心,37人(35%)认为自己有能力处理心律失常。五分之一的医生觉得与亲属面谈压力很大。在回复的105名医生中,77人(73%)认为他们的预注册经历对他们的职业选择几乎没有影响或没有影响。

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Practical experience and confidence in managing emergencies among preregistration house officers.预注册住院医师在处理紧急情况方面的实践经验和信心。
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Identifying appropriate tasks for the preregistration year: modified Delphi technique.确定预注册年的合适任务:改良德尔菲法
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How common is medical training in palliative care? A postal survey of general practitioners.姑息治疗方面的医学培训有多普遍?对全科医生的邮寄问卷调查。
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Teaching junior doctors practical procedures.教初级医生实际操作程序。
BMJ. 1991 Feb 9;302(6772):306. doi: 10.1136/bmj.302.6772.306.

本文引用的文献

1
Teaching terminal care at Queen's University of Belfast. II--Teaching arrangements and assessment of topic.贝尔法斯特女王大学临终关怀教学。II——教学安排与主题评估
Br Med J (Clin Res Ed). 1984 Dec 8;289(6458):1604-5. doi: 10.1136/bmj.289.6458.1604.
2
Resuscitation needed for the curriculum?课程需要复苏吗?
Br Med J (Clin Res Ed). 1985 Jun 29;290(6486):1985-6. doi: 10.1136/bmj.290.6486.1985.
3
Cardiopulmonary resuscitation skills of preregistration house officers.预注册住院医师的心肺复苏技能。
Br Med J (Clin Res Ed). 1985 May 25;290(6481):1549-50. doi: 10.1136/bmj.290.6481.1549.